Shonan University Hospital, outpatient operating room.

The types of appendicitis and the operation were too small, and the emergency operating room felt disgusted and did not give the operating room at all, so Fang Xian and Li Qiu sent the operation notice over and threw it directly into the outpatient operating room.

However, he generously arranged for an anesthesiologist to come over to anesthetize with the station, and even the graduate students of this hospital did not arrange it.

Seeing that it should be the sixth year, the little girl who had just entered the anesthesiology department was operating slowly, and Li Qiu and Fang Xian were not easy to urge.

Standing outside the operating room and waiting, Li Qiu was fully armed, but his belly was slightly propped up by his handwashing clothes.

The models of hand gowns and sterile surgical gowns in the outpatient operating room are only available in standard sizes.

can only make do with it first, maybe the weather is a little cold, at this moment Li Qiu pulled the hem of his handwasher: "Brother Xian, the First People's Hospital of Changshi, you really don't want to go?" ”

"Then you used to toss around over there?"

When Fang Xianyan heard this, he sighed with emotion: "Old ball, it's not that I don't want to go, but I can't go." ”

"After the official job, you are a little doctor, and you have to integrate into the world."

How else is Fang Xian going?

He is an employee of the Affiliated Hospital of Shonan University, and his family is the First People's Hospital of Changshi, a tertiary hospital. You are not an employee of this hospital, why do you have the opportunity to practice and operate?

Fang Yun left.

It's not that the trees are falling and scattering, but it's definitely not Fang Xian's turn to come and go at will.

When I was in Changshi, not many people paid attention to such a topic as the reconstruction of the damaged function, but only knew how to stare at Professor Zhou.

However, the general surgery department and urology department of the Shonan University Affiliated Hospital felt that these things that the hospitals and medical associations in Changshi did not look up to, and I often discussed them with Fang Xian in the past month.

When Li Qiu heard Fang Xian say this, he turned his head: "Alas, most of the hospitals in prefecture-level cities are like this, only looking at their identities and not people. ”

"It's not just our regular market."

Li Qiu is from Changshi, and Fang Xian grew up in Changchang, and the reason why the two will be good during the training period cannot be ignored.

"So, I'll have to nest in this courtyard." Fang Xian replied suspiciously without Versailles.

Li Qiu also learned the mantra from Professor Xu Fengnian from Lin Jiemo, and used it: "You are really you!" ”

"Huh! ~" Fang Xian stretched out his hand to interrupt.

"You can't say that."

"When you see my mother, you have to call your aunt in a proper manner, the professors are professors, and when they see my mother, it's not too much to shout at the old sister or the old sister."

"You're really my aunt, right?" Li Qiu changed the way he spoke, and the meaning sounded as if it had changed.

"Appendectomy, can it be done?" Fang Xian asked Li Qiu.

In fact, I was also apprehensive!

The Affiliated Hospital of Shonan University, for the requirements of the main knife for students, it requires some level 3 skills, and Li Qiu's basic skills are actually not up to the requirements of the main knife.

However, if it is the standard of the chief surgeon of the prefecture-level city hospital, Li Qiu is now doing a first-level operation such as appendicitis resection, which is also reasonable.

in the hospital.

In trauma surgery, the minimum requirements for students to perform surgeons are: X-ray reading level, debridement, incision, and suture all at level 3.

However, in general surgery, the minimum requirements for students to be the main surgeon are incision, debridement, hemostasis, and suture all reaching level 3.

Li Qiu thought seriously for a moment before saying, "I'll start with the incision first, and then I'll do the hemostasis operation." ”

"In the past six months, I have only practiced the proficiency of debridement to level 3, hemostasis and incision, and it is still a little close." Li Qiu confessed honestly.

"That's fine. Incision, hemostasis, suturing, in fact, what I have to do is to complete the appendix stitching and excision, and the rest can be left to you. ”

"But you can experience the operation I did during the operation, and it is very good for your growth to see more high-standard operations, but I won't tell you too much, you have to think about it slowly. It's a long time anyway. Fang Xian said.

To be honest, Fang Xian didn't like it, in the trauma center, someone gave a student's upper limit to death.

……

More than 40 minutes later, Fang Xian took Li Qiu to finish a simple appendectomy, and after the sutures and bandages were completed, he asked the roving nurse to push the patient back to the general ward of the emergency department.

But although the itinerant nurse and the patient left, Li Qiu looked at Fang Xian with puzzled eyes.

"Brother Xian, what did you do before, the nurse on duty just now, looking at you, is it a little wrong?" Li Qiu's observation seems to be extremely sharp.

Fang Xian scolded and said, "Old Qiu, in this whole operation, I performed so many basic medical operations for you, you only noticed the nurse, right?" ”

Fang Xian's eyes were staring at Li Qiu, his gaze was scorching, and there was quite a kind of coercion from his superiors.

But the coercion on Fang Xian's body seemed to be completely useless to Li Qiu.

"No, I think there's a story in there. If you don't say it, I'll go to spread rumors tomorrow? Li Qiu continued to threaten, and passed on the attributes of gossip in the hospital to the fullest.

Fang Xian could only tell the troubles he had experienced in the outpatient operating room before.

To tell the truth, the eldest sister Qiu Qiuying, the 'iron brother' of the chief resident doctor of trauma surgery Wang Chuntao, is the most unbearable girl Fang Xian has ever encountered.

Cutting a small cyst in the outpatient operating room before, it had to make people misunderstand what Fang Xian did to her, even now, it still made the nurse on duty remember Fang Xian deeply, and Fang Xian couldn't help it.

Half a year has passed.

"Is it really big?" Li Qiu's attention seems to be very different from ordinary people.

"Then how do I know, I haven't touched it."

"When I went back, I went to get a doctor's order and went to sleep." Fang Xian was too lazy to entangle with Li Qiu.

Li Qiu's face changed instantly: "Brother Xian, can you still ask you to come when you go back to give medical advice, leave it to me, I will complete the postoperative medical records and surgical records, and then go back." ”

"Now it's this bed, there's nothing to do, it's going to be a bird."

Li Qiu bit the word "leisure" in Fang Xian very hard.

Fang Xian didn't pay attention to the text stalk played by Li Qiu at all, and yawned-

"You have to carefully understand what is the relationship between the specialist skills and basic skills of general surgery, don't simply interpret it from the perspective of anatomy, but learn to analyze the relationship between the two from the basic theory of general surgery, so that your understanding of surgical operations will be more detailed and profound." Fang Xian warned Li Qiu like this.

A good friend should bring as much as you want.

The ward here, if you want to rely on Li Qiu to support it, you can't do it, if there are more patients in the future, you still need a helper like Wang Yang or Zou Junzi.

"Good!" Li Qiu nodded and left first.

……

On the way home, Fang Xian seriously thought about the current development route of specialists, trauma centers and emergency doctors.

In fact, in the specialty, although the basic operation of medicine is still very important, in fact, what is more important is the integration of the corresponding theory and knowledge of the specialty and the basic skills.

For example, in general surgery, even if it is a senior attending physician in general surgery, the level of basic medical skills required is still not particularly high, and only level 4 incision and debridement are required.

As for sutures, hemostasis, etc., you only need to reach level 3 proficiency, which is enough. More energy is spent on the basic skills of the specialist, the learning and proficiency of the specialist skills.

Doctors in departments such as emergency physicians and trauma centers need to practice the level of basic skills very high, the higher the better.

As long as you complete the 'simple and crude' life-saving, then you are a very good emergency doctor, and other specialized skills corresponding to the treatment of diseases do not require you to go deep into the operation at all.

These are two very different directions of development.

It can be seen that there is a very contradictory point in this.

It is the leader of the discipline, that is, after being promoted to the professor, if you want to climb up again, then your basic medical skills are only enough, but you can't do it at all.

"Li Qiu's basic medical skills, do you want to continue to climb up? Or is it a priority to develop specialist competencies? Fang Xian hesitated.

In fact, like Li Qiu, if there is no special adventure.

To be able to stay in the hospital, it is already his ceiling, and in the future, slowly through the accumulation of years, some basic skills will be upgraded to level 4, with enough specialist skills, and a positive height, which is the goal of lifelong struggle.

But if you want to forge ahead as a discipline leader, level 4 medical basic skills, it is definitely not enough.

"Alas, let's look at the creation first, it's not easy to define how far the old ball can go." Fang Xian muttered in a low voice.

……

The next day, January 6, is also the third working day after New Year's Eve.

When Fang Xian was back asleep, he was woken up by Fan Chengpeng's voice call.

Of course, Fang Xian has to go back to sleep, and the bed in charge has no patients at all.

A patient with appendicitis surgery who was rewarded did not need too much intervention, and there were five days left in the next outpatient clinic, so what else could he do except sleep in the cage?

Even if you continue to go to the operating room of the trauma center to join the group to complete simple training and earn skill points, it is too useful.

No matter how luxurious the skill panel is, it is useless for the time being.

With more than 200,000 skill points, you can point out thirty or forty level 5 skills, and that's useless.

Now, after Fang Xian has completed the standard treatment plan, the demotion treatment plan and the basic operation of the specialty of the disease, there is a steady stream of skill points coming in every day, and he can complete the basic operation by himself, as if he can't compare to the earning rate of this skill point.

"Brother Peng?" Fang Xian returned.

Fan Chengpeng is a master's student of Professor Lin Jiemo, currently in his seventh year, before Fang Xian entered the operating room of the trauma center, he was in a group with him, and when he entered the operating room to become an assistant, Fan Chengpeng gave Fang Xian a lot of science.

But now, Fang Xian has broken away from the title of school year.

"Brother Xian, are you free now? If you have time, can you come to trauma surgery? Something is going on here. Fan Chengpeng was on the phone, his tone flickering.

"Okay, I'll come right over."

"Tell me what it is?" Fang Xian answered first and then asked.

In his free time, Fan Chengpeng is in Professor Lin Jiemo's group, and he was also a student under Professor Lin's group before, but now although he has achieved some success, he can't be too arrogant.

"It was a patient who was injured some time ago, and he was infected after surgery, so he has not been discharged from the hospital until now!"

"He is also a relative of a professor in the Department of Respiratory Medicine of our hospital, and just two days ago, he saw a patient like him in the department, and the operation was only about half a month apart, and after the tube was removed, he was able to urinate and urinate on his own."

"So he asked Professor Hu from the Department of Internal Medicine to come and ask the teacher, and now the teacher is entangled and sent me a message to ask me to call you, if it is convenient for you, come to the department."

"Brother Xian, you also know that a month ago, we destroyed the reconstruction of the urine and urine function of this disease, where did we dare to do it?"

"Okay, I got it."

"Coming soon, Brother Peng, I don't live far away." Fang Xian replied immediately.

Fan Chengpeng didn't hang up the phone immediately, but hesitated for a few seconds and asked, "Brother Xian, classmates of our level, there is a party around the 10th of this month, are you going?" ”

"Li Qiu will go too." Fan Chengpeng deliberately emphasized.

Fang Xian only hesitated for two seconds: "I won't go, you guys have fun." ”

The Tao is different, and it is not conspiratory.

In the past, when he was a resident student, the gathering between graduate students had little to do with him, but now it is still the case, he is still not a graduate student in the orthopedic department of this hospital, so there is no need to mix too much.

Fan Chengpeng was very polite: "Okay, brother Xian, then I can just give the squad leader an errand, mainly because the squad leader asked me to ask." ”

After Fang Xian hung up the phone, he looked at the phone screen.

His old classmate, Long Yanzhuo, has such a good relationship with him, he knows that he didn't call me before, and he knows that he doesn't ask directly.

The older you get, the fewer friends you have.

……

After coming to the department, Fang Xian had no white coat.

However, Fan Chengpeng immediately very politely borrowed Fang Xian's white coat, and without wearing a badge, Fang Xian knocked on the door of the director's office.

Professor Lin Jiemo came over and opened it in disguise, and when he saw that it was Fang Xian, he immediately opened the door, and then said, "Professor Hu, Doctor Fang from our department is here." ”

Lin Jiemo is still very natural to introduce.

Although Fang Xian is not in trauma surgery, Fang Xian has been in trauma surgery before, and in his group, this is an irreversible fact.

Hearing this, the person named Professor Hu was already standing, and hurriedly came over and politely stretched out his hands: "Hello Doctor Fang." ”

Fang Xian bowed slightly, and also handed over his hands: "Teacher Hu, you are too polite." ”

"Professor Hu, Doctor Fang, sit down and talk. It's all your own people, so you don't have to be too polite and greeting. Lin Jiemo interjected and separated the two.

After taking a seat, when Professor Hu was looking at Fang Xian, Fang Xian was also looking at Professor Hu from the Department of Respiratory Medicine.

He has a short beard and a clean chin, quite a hundred years ago in the style of the Republic of China.

But it's a personal habit.

The figure is upright, the temperament is quite elegant, and the face is bookish, so he should be a person who has read a lot of books. And this kind of book may not be limited to specialist textbooks.

Professor Hu said, "Doctor Fang, Professor Lin, then I won't go around in circles and ask directly, we are all our own people." ”

"That's right, my brother is in this situation, can he still reconstruct the urine and urine function?"

(End of chapter)